Volunteer Registration Form
This form is to volunteer at at VA Hospital at Wade Park
Details are as follows;
We will meet someplace for a light dinner at 6:00pm and and then spend about two hours visiting patients on the 4th floor.

The night that receives the most votes will be the winner.

You will be contacted via email and notified of the final outcome

Please contact your lodge secretary for additional details.

Email address
First Name
Your answer
Last Name
Your answer
Preferred Date
Dinner Suggestions
Your answer
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